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Radiation-Induced Fibrosis of the Spermatic Cord: Sonographic and MRI Findings

Allison Aguado1, Thomas H. Grant1, Frank H. Miller1 and John Garnett2

1 Northwestern University, Department of Radiology, 676 N St. Clair St., Suite 800, Chicago, IL 60611.
2 Northwestern University, Department of Urology.



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  		Fig. 1A. —26-year-old man with history of stage IV rhabdomyosarcoma of bladder as a child presented with painful, small, indurated left extratesticular mass in superior aspect of scrotum. Longitudinal sonogram of left testis shows cluster of microcalcifications (arrowheads).

 


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  		Fig. 1B. —26-year-old man with history of stage IV rhabdomyosarcoma of bladder as a child presented with painful, small, indurated left extratesticular mass in superior aspect of scrotum. Contiguous sagittal images of left testis (arrows) and spermatic cord mass (arrowheads).

 


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  		Fig. 1C. —26-year-old man with history of stage IV rhabdomyosarcoma of bladder as a child presented with painful, small, indurated left extratesticular mass in superior aspect of scrotum. Coronal T2-weighted turbo spin-echo image (TR/TE, 7,804/136; flip angle, 180°) shows thickened spermatic cord extending into the inguinal canal (arrows). Left testis is pulled superiorly toward the external ring (arrowhead).

 

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